NPI | 1578023842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL UO6775) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL OS17146) |
207R00000X Internal Medicine (Licence: FL UO6775) | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2021-11-30 |